Sexual Nursing Care For The Postpartum Period And Its Impact On Sexual Dysfunction And Life Satisfaction Among Egyptian Women

@#Many couples experience postpartum period of decreasing sexual satisfaction. Postpartum sexual dysfunction is a very common and relevant clinical problem, with significant adverse effects on women's health. The aim of this study was to evaluate the impact of sexual nursing care for the postpartum period on sexual dysfunction and life satisfaction among Egyptian women. A quasi-experimental design was used to study 219 women selected using a purposive sample. The study was conducted in out-patients maternity clinic at Zagazig university hospitals, Sharkia Governorate, Egypt, between the periods from February 2019 to February 2020. Data was collected using three tools. The first: Structured interview questionnaire that consist from three parts, part one: socio demographic characteristics , part two obstetric history and part three sexual history, the second: Female Sexual dysfunction index (FSDI), and the third: Satisfaction with Life Scale (SWLS).Four session about sexual education was done. The Results showed an improvement in sexuality and life satisfaction after application of sexual nursing care for the postpartum period including kegel’s exercise, positioning and distractions techniques post intervention compared to pre intervention. The study concluded that sexual nursing intervention for postpartum period improve sexual functioning and create enjoyable intercourse and there was high positive correlation between sexuality and life satisfaction after implementation of the sexual nursing care intervention. The study recommended to provide counselling /training program about sexual nursing care intervention during postpartum period for nurses working in different health care settings.

Paediatric continuing medical education needs and preferences of UNRWA physicians in Jordan

Most physicians who work in the United Nations Relief and Works Agency [UNRWA] infant and child health programme in Jordan are general practitioners with no postgraduate training in paediatrics. Furthermore, in resource-poor or remote settings, the ability to deliver live continuing medical education [CME] is often limited. A questionnaire exploring the resources available for accessing CME, preferences for types of CME, current sources of CME and topics of interest in the field of paediatric care was sent to all 92 physicians practising in UNRWA clinics in Jordan. Of the 89 respondents 80% had attended live medical lectures for CME and 70% CME meetings. Despite most physicians having access to the Internet only 52.8% were interested in Internet-based courses for accessing CME. There was a statistically significant relationship between year of graduation from medical school and preference for Internet-based CME. Implications for CME participation and paediatric CME topics are discussed

Primary healthcare reform in the United Nations Relief and Works Agency for Palestine Refugees in the Near East

Palestinian refugees served by the United Nation Relief and Works Agency for Palestine Refugees in the Near East [UNRWA] are experiencing increasing rates of diagnosis of non-communicable diseases. In response, in 2011 UNRWA initiated an Agency-wide programme of primary healthcare reform, informed by the Chronic Care Model framework. Health services were reorganized following a family-centred approach, with delivery by multidisciplinary family health teams supported by updated technical advice. An inclusive clinical information system, termed e-Health, was implemented to collect a wide range of health information, with a focus on continuity of treatment. UNRWA was able to bring about these wide-ranging changes within its existing resources, reallocating finances, reforming its payment mechanisms, and modernizing its drug-procurement policies. While specific components of UNRWA's primary healthcare reform are showing promising results, additional efforts are needed to empower patients further and to strengthen involvement of the community

Reasons for cancellation of elective operations at a major teaching referral hospital in Jordan

Cancellation of elective scheduled operations leads to an inefficient use of operating room time and a waste of resources. This prospective records-based study aimed to determine the rate of and reasons for cancellations of scheduled elective surgical operations in a major teaching referral hospital in Jordan. Over a period of 12 months, cancellation was recorded in 382 [3.6%] of 10485 scheduled elective surgical operations. Day unit cancellations accounted for 27.5% and inpatient cancellations for 72.5%. Patient-related reasons, administrative and medical reasons accounted for 31.4%, 30.4% and 38.2% of all cancelled operations respectively. The most common patient-related reason for cancellation was patient non-attendance. The most common administrative reason for cancellations was unavailability of hospital admission beds. Although the cancellation rate was low in comparison with the reported rates worldwide, reductions might be achieved by adopting some important interventions, especially better bed utilization

Cauterization of inferior nasal turbinate for idiopathic headache

Idiopathic headache is a stressful complaint, whose treatment is not well established. Our study is an attempt to examine the relationship between idiopathic headache and inferior turbinate cauterization as a surgical treatment, and to explain the central physiological effect of cauterization. Thirty-four patients, 15 females and 19 males complaining of idiopathic headache were treated by inferior turbinate cauterization. Cauterization of the inferior-medial aspect of the turbinate was carried out once under local anesthesia for few seconds. This study was performed between November 1993 and December 1996, a joint project of the Zarka Government Hospital, Zarka and Faculty of Medicine, University of Jordan, Amman, Jordan. More than 82% of the patients showed significant improvement in the sense of decreased headache. Cautery of the nasal turbinate could be a novel method for treatment of idiopathic headache

Cauterization of inferior nasal turbinate for idiopathic headache

Idiopathic headache is a stressful complaint, whose treatment is not well established. Our study is an attempt to examine the relationship between idiopathic headache and inferior turbinate cauterization as a surgical treatment, and to explain the central physiological effect of cauterization. Thirty-four patients, 15 females and 19 males complaining of idiopathic headache were treated by inferior turbinate cauterization. Cauterization of the inferior-medial aspect of the turbinate was carried out once under local anesthesia for few seconds. This study was performed between November 1993 and December 1996, a joint project of the Zarka Government Hospital, Zarka and Faculty of Medicine, University of Jordan, Amman, Jordan. More than 82% of the patients showed significant improvement in the sense of decreased headache. Cautery of the nasal turbinate could be a novel method for treatment of idiopathic headache